Associação entre saúde bucal, qualidade de vida, níveis salivares de cortisol e alfa-amilase em idosos institucionalizados

Author(s)

Polyanne Junqueira Silva Andresen Strini

• Document type: Doctoral Thesis
• Press: Piracicaba, SP.
• Institution: Universidade Estadual de Campinas (UNICAMP). Faculdade de Odontologia de Piracicaba
• Defense date: 2014-06-18

Examining board members

Maria Beatriz Duarte Gavião; Fernanda Viaro Borges; Fausto Bérzin; Paula Midori Castelo; Claudia Duarte Kroll

• Advisor: Maria Beatriz Duarte Gavião

Abstract

The number of elderly is increasing worldwide, which suggests the need for better understanding of individual and environmental factors related to aging. The aim of this study was to assess overall quality of life and subjective assessment of oral conditions, levels of depression and perceived stress, presence of orofacial dysfunctions and levels of salivary cortisol and alpha-amylase in institutionalized elderly. The sample comprised 76 subjects of both genders, with minimum age 60 years, submitted to intraoral clinical examination to verify the presence of prostheses. Questionnaire "Medical Outcomes Study 36-Item Short-Form Health Survey" (SF-36) was applied to assess overall quality of life; "Oral Health Assessment Index" (GOHAI) for the subjective assessment of oral conditions; "Perceived Stress Scale" (PSS), to evaluate the perception of stressful situations; "Geriatric Depression Scale" (GDS-15) for evaluating the presence of depression and "Nordic Orofacial Test - Screening" (NOT-S) to assess the presence of orofacial dysfunctions. Multiple linear regression showed an interrelationship between PSS scores and physical domain of GOHAI but there was no association with ACR and AAAR. Positive correlation was observed between Psychosocial Function GOHAI domain and NOT-S for individuals with prostheses in both dental arches and between total NOT-S and GOHAI for individuals with at least one prostheses. Similarly, individuals with prostheses or not may present difficulties related to physical and psychological aspects, which may cause pain and discomfort impacting on quality of life (AU)

• FAPESP's process: 11/13130-4 - Association among oral health, quality of life, salivary cortisol and alpha-amylase in institutionalized elderly
• Grantee: Polyanne Junqueira Silva Andresen Strini
• Support Opportunities: Scholarships in Brazil - Doctorate